APPLICATION FORM FOR INTERNATIONAL STUDENTS PERSONAL DETAILS (in BLOCK letters)

APPLICATION FORM
FOR INTERNATIONAL STUDENTS
www.aipe.edu.au
www.studyonline.edu.au
PERSONAL DETAILS (in BLOCK letters)
Mr
Ms
Mrs
Miss
Dr
Other (please specify)
Given Name:
Gender:
Male
Family Name:
Date of Birth (DD/MM/YYYY):
Female
Country of Birth:
Nationality:
Passport Number:
Expiry Date (DD/MM/YYYY):
Do you hold a current Australian Visa?
Visa Code:
If yes, what is the visa category?
Visa Type:
Visa Expiry (DD/MM/YYYY):
Have you applied (or are you intending to apply) for Australian permanent residency?
If yes, date (or intended date) of application (DD/MM/YYYY):
Student’s Overseas Address*
Student’s Australian Address*
AGENT’S Address (optional)
Unit No:
Unit No:
Unit No:
Street No:
Street No:
Street No:
Street Name:
Street Name:
Street Name:
Suburb:
Suburb:
State:
State:
Postcode:
Postcode:
Mobile:
Telephone:
Telephone:
Country:
Mobile:
Mobile:
Suburb:
State:
Postcode:
Telephone:
* Student’s overseas address is mandatory. If the student is currently in Australia an Australian address must also be provided.
Student’s Email (mandatory):
AGENT DETAILS
Where is the student when completing this form?
In Australia
Offshore
Specify Country
Agency name:
Agency staff member name:
Agent’s Email (mandatory):
ENGLISH PROFICIENCY
Do you speak a language other than English at home?
If yes – please specify:
What is your current level of English?
Have you ever studied English?
If yes, attach certified documentary evidence to this application form
If yes, please specify length of time (in months)
In which country?
Have you ever taken an official English language test?
Overall Result:
If other – please specify:
Month and Year Taken (MM/YYYY):
P/+61 (0) 2 8412 9300 StudyOnline
RECEPTION LEVEL 1
160 SUSSEX STREET S YDNEY F/+61 (0) 2 8412 9301 P/ 1300 256 118
E/ [email protected]
E/ [email protected]
NSW 2000 AUSTRALIA
CRICOS CODE
02927C
APPLICATION FORM
FOR INTERNATIONAL STUDENTS
www.aipe.edu.au
www.studyonline.edu.au
ACADEMIC HISTORY
Please list your full academic history OVERSEAS (do not include studies undertaken in Australia)
Program Name
Institution Name
Year
Commenced
Year
Completed
Year
Commenced
Year
Completed
Please list your full academic history in AUSTRALIA (if applicable)
Program Name
Institution Name
Are you applying for Credit Transfer/ Recognition of Prior Learning?
(If yes, please complete and attach the Credit Transfer/RPL Application Form (available from AIPE website and AIPE Campus Reception) and talk to your agent or Student Services.
An administration fee of $100 is applicable to assess RPL applications.)
Do you plan to continue studying in Australia after completing your studies at AIPE?
If yes – please specify, name of education provider
and/or qualification
EMPLOYMENT HISTORY AND CAREER PROFILE
Of the following categories, which best
describes your current employment status?
Of the following categories, which best describes your main
reason for undertaking this course/traineeship/apprenticeship?
Full-time employee
To get a job
Part-time employee
To develop my existing business
Self employed - not employing others
To start my own business
Employer
To try for a different career
Employed - unpaid worker in a family business
To get a better job or promotion
Unemployed - seeking full-time work
It was a requirement of my job
Unemployed - seeking part-time work
I want extra skills for my job
Not employed - not seeking employment
To get into another course of study
For personal interest or self-development
Other reasons
P/+61 (0) 2 8412 9300 StudyOnline
RECEPTION LEVEL 1
160 SUSSEX STREET S YDNEY F/+61 (0) 2 8412 9301 P/ 1300 256 118
E/ [email protected]
E/ [email protected]
NSW 2000 AUSTRALIA
CRICOS CODE
02927C
APPLICATION FORM
FOR INTERNATIONAL STUDENTS
www.aipe.edu.au
www.studyonline.edu.au
STUDENT SERVICES
Do you require Overseas Student Health Cover?
Single
Dual Family
Multi Family
Duration:
Airport Pick-up: Do you require airport pick-up?
Accommodation: Do you require assistance with accommodation?
Homestay:
Single Room
Share Accommodation:
Share Room
Double Room
Triple Room
If yes, please specify length of stay (minimum 4 weeks):
Medical Conditions:
Nil
Accommodation Start Date (DD/MM/YYYY):
Yes (please specify)
Do you consider yourself to have a disability, impairment or long-term condition?
If yes, then please indicate the areas of disability, impairment or long-term condition and clarify accordingly:
(Please select all that apply)
Hearing/Deaf
Learning
Vision
Physical
Mental Illness
Medical Condition
Intellectual
Acquired Brain Impairment
Other
Would you like to receive advice on support services, equipment and facilities which may assist you?
PROGRAM DETAILS
Which program(s) are you applying for?
English Language Courses
Course Name & CRICOS Code
Start Date
Vocational Education Training Courses
Course Name & CRICOS Code
Start Date
Higher Education programs
Course Name & CRICOS Code
P/+61 (0) 2 8412 9300 StudyOnline
RECEPTION LEVEL 1
160 SUSSEX STREET S YDNEY F/+61 (0) 2 8412 9301 P/ 1300 256 118
E/ [email protected]
E/ [email protected]
NSW 2000 AUSTRALIA
Intake Semester
CRICOS CODE
02927C
No. of Weeks
APPLICATION FORM
FOR INTERNATIONAL STUDENTS
www.aipe.edu.au
www.studyonline.edu.au
STUDENT STUDY INTENTION STATEMENT
You DO NOT need to complete this section if you (the applicant) are not applying to study any Higher Education Programs with AIPE.
The answers provided in this statement will be used by AIPE to undertake a preliminary assessment as to whether you are a Genuine
Temporary Entrant (GTE) and a Genuine Student (GS).
Please note the Department of Immigration and Boarder Protection will undertake their own determination of the GTE and GS criteria.
Further information on the GTE criteria can be located on the DIBP website: www.immi.gov.au
You must answer all the questions below as thoroughly as you can (Please attach an additional page if you require more space).
ALL OFFSHORE applicants will be contacted by an AIPE representative to conduct a phone interview, AIPE may also contact
applicants currently residing in Australia if deemed necessary. If AIPE attempts to contact an applicant with no success on three
occasions, the application will be automatically refused.
Why do you want to travel to Australia for study compared to studying in your home country? Please explain.
Why would like to study with AIPE compared to other Australian educational providers? Please explain.
How do you believe the program you are applying to study with AIPE will benefit your current or chosen career path? Please explain.
Do you have any family in Australia? Explain your current personal circumstances at home relating to family/friends etc. Provide
information on any family members/dependants that you wish to bring to Australia with you.
How do you intend to finance your study and living expenses for the entire duration of your stay in Australia? Please explain.
Do you have any previous immigration history such as visa applications, refusals and visa grants? Please explain.
Provide the best way for us to contact you to conduct an interview, Skype ID (preferred), Phone number etc.:
P/+61 (0) 2 8412 9300 StudyOnline
RECEPTION LEVEL 1
160 SUSSEX STREET S YDNEY F/+61 (0) 2 8412 9301 P/ 1300 256 118
E/ [email protected]
E/ [email protected]
NSW 2000 AUSTRALIA
CRICOS CODE
02927C
APPLICATION FORM
FOR INTERNATIONAL STUDENTS
www.aipe.edu.au
www.studyonline.edu.au
AGREEMENT
I declare the information supplied by me on this form is true and correct in every particular. I declare that all documentation accompanying
my application is true and correct. I authorise AIPE to obtain information from educational institutions and relevant authorities concerning
my entire study history including enrolments, academic results, attendance and finances.
I understand that AIPE is obliged by law to keep confidential student records on file for administrative purposes. I am aware that information
relating to my application to undertake study with AIPE may be provided to DIBP. I understand that information is collected on this form and
during my enrolment in order to meet AIPE’s obligations under the ESOS Act and the National Code 2007; and to ensure student compliance
with the conditions of their visas and their obligations under Australian immigration laws generally. The authority to collect this information
is contained in the Education Services for Overseas Students Act 2000, the Education Services for Overseas Students Regulations 2001 and
the National Code of Practice for Registration Authorities and Providers of Education and Training to Overseas Students 2007. Information
collected about me on this form and during my enrolment can be provided, in certain circumstances, to the Australian Government and
designated authorities and, if relevant, the Tuition Assurance Scheme and the ESOS Assurance Fund Manager. In other instances, information
collected on this form or during my enrolment can be disclosed without my consent where authorised or required by law.
A saved digital signature can be attached in the box only
if it is an image of the students actual hand written signature.
Applicant’s
Signature
Name:
Date:
Application Checklist :
Completed all sections of the application form that apply to me
Signed the application form
Attached copies of valid passport
Attached certified copies of academic qualifications including any translations
Attached copies of current visa (if available)
Attached evidence of English language proficiency
Attached University application form (if applying for pathway studies)
Save As...
You can save this application form under a particular
student name to come back and edit later
P/+61 (0) 2 8412 9300 StudyOnline
RECEPTION LEVEL 1
160 SUSSEX STREET S YDNEY F/+61 (0) 2 8412 9301 P/ 1300 256 118
E/ [email protected]
E/ [email protected]
NSW 2000 AUSTRALIA
Print Form
CRICOS CODE
02927C
Submit by Email
Version 7.1
Date of issue: October 2014